Individual
MRS. LAURA MARIE CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1851 E BUTLER AVE, FLAGSTAFF, AZ 86001-5911
(312) 307-7452
(928) 774-3878
Mailing address
1851 E BUTLER AVE, FLAGSTAFF, AZ 86001-5911
(312) 307-7452
(928) 774-3878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009777
IL
152W00000X
Optometrist
2041
AZ
Other
Enumeration date
04/10/2007
Last updated
05/12/2015
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